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NPI Code Detail

MEDICARE: MRS. NITA G HARRIS M.D.

MEDICARE:  MRS. NITA G HARRIS  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease Physician41223CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1386680726
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. NITA G HARRIS M.D.
Provider Business Mailing Address
First Line : 2 SOUTH CASCADE AVENUE
Second Line : SUITE 140
City : COLORADO SPRING
State : CO
Zip : 80903-1604
Country : US
Telephone Number : 719-538-2900
Fax Number : 719-538-2961
Provider Business Practice Location Address
First Line : 2222 N NEVADA AVE STE 4007
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80907-6863
Country : US
Telephone Number : 719-776-8500
Fax Number : 719-776-4595
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2006
Last Update Date : 04/20/2023

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Directions to “ MRS. NITA G HARRIS M.D.” Practice Location

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